The Optical Shop Inc.

LBN: The Optical Shop Inc.
The Optical Shop Inc. is an health care organization with primary practice located at 112 22Nd Ave S , Brookings SD 57006-2600. The organization recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as the primary health care specialty. The Optical Shop Inc. can be contacted via phone (605) 692-5173, or through Anderson, Tom via phone (605) 692-5173.

Contact Information

Primary practice address
112 22Nd Ave S Brookings SD 57006-2600
Phone: (605) 692-5173
Fax: (605) 692-6710
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Tom A.B.O.C.
Phone: (605) 692-5173

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 05001EST001 South Dakota

Profile Details

NPI number 1063588374
LBN Legal business name The Optical Shop Inc.
DBA Doing business as
Authorized official Anderson, Tom A.B.O.C.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 28th, 2006
Last updated Jul 21st, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063588374 NPPES
South Dakota MEDICAID 9280970

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